[Answer] A 29 year old female presents to the emergency department during her 25th week of pregnancy with new onset of focal right lower quadrant pain. The pain has been constant for 8 hours. She vomited earlier and has not eaten today. A temperature of 37.5C is recorded. WBC is 16k. Ultrasound shows free fluid in the right lower quadrant and an appendix dilated to 15mm. This exam also shows a normal viable intra-uterine pregnancy. Which of the following statements is true regarding her diagnosis and treatment options? This is the second most common surgical emergency in pregnancy. Regardless of treatment there is at least a 25% rate of early delivery. The leukocytosis in this patient should be considered normal. Diagnostic laparoscopy is not an option due to pregnancy CT scan of the abdomen/pelvis is necessary for definitive diagnosis.

Answer: The leukocytosis in this patient should be considered normal.

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A 29 year old female presents to the emergency department during her 25th week of pregnancy with new onset of focal right lower quadrant pain. The pain has been constant for 8 hours. She vomited earlier and has not eaten today. A temperature of 37.5C is recorded. WBC is 16k. Ultrasound shows free fluid in the right lower quadrant and an appendix dilated to 15mm. This exam also shows a normal viable intra-uterine pregnancy. Which of the following statements is true regarding her diagnosis and treatment options? This is the second most common surgical emergency in pregnancy. Regardless of treatment there is at least a 25% rate of early delivery. The leukocytosis in this patient should be considered normal. Diagnostic laparoscopy is not an option due to pregnancy CT scan of the abdomen/pelvis is necessary for definitive diagnosis. A 20 year old female patient presents to the emergency department with lower abdominal pain moderate vaginal bleeding and right shoulder pain . Her blood pressure is 90/50 mmHg pulse 120 respirations 20 and tmperature 98 degree F (36.6 degree C). She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Chapter 11: Caring for the Woman Experiencing Complications During Pregnancy MULTIPLE CHOICE 1. A woman presents to the perinatal clinic with abdominal pain . She has missed one period and following a transvaginal ultrasound pregnancy is confirmed. However implantation has occurred in the right fallopian tube. The ectopic mass is 3 cm and has not ruptured. A 26- year - old female presents with heavy vaginal bleeding. She is conscious but restless. Her blood pressure is 84/54 mm Hg her pulse is 120 beats/min and weak and her respirations are 22 breaths/min with adequate depth. A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia fo...

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